CA3101074A1 - Electrosurgical instrument - Google Patents

Electrosurgical instrument Download PDF

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Publication number
CA3101074A1
CA3101074A1 CA3101074A CA3101074A CA3101074A1 CA 3101074 A1 CA3101074 A1 CA 3101074A1 CA 3101074 A CA3101074 A CA 3101074A CA 3101074 A CA3101074 A CA 3101074A CA 3101074 A1 CA3101074 A1 CA 3101074A1
Authority
CA
Canada
Prior art keywords
electrosurgical instrument
electrode
distal
instrument according
energy
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CA3101074A
Other languages
English (en)
French (fr)
Inventor
Christopher Paul Hancock
Patrick BURN
Pallav Shah
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Creo Medical Ltd
Original Assignee
Creo Medical Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Creo Medical Ltd filed Critical Creo Medical Ltd
Publication of CA3101074A1 publication Critical patent/CA3101074A1/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005Flexible endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/16Indifferent or passive electrodes for grounding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00077Electrical conductivity high, i.e. electrically conducting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00083Electrical conductivity low, i.e. electrically insulating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482Digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00541Lung or bronchi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00559Female reproductive organs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00994Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/147Electrodes transferring energy by capacitive coupling, i.e. with a dielectricum between electrode and target tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1823Generators therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1861Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1892Details of electrical isolations of the antenna

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
CA3101074A 2018-05-30 2019-05-24 Electrosurgical instrument Pending CA3101074A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1808810.4A GB2576481B (en) 2018-05-30 2018-05-30 Electrosurgical instrument
GB1808810.4 2018-05-30
PCT/EP2019/063488 WO2019228927A1 (en) 2018-05-30 2019-05-24 Electrosurgical instrument

Publications (1)

Publication Number Publication Date
CA3101074A1 true CA3101074A1 (en) 2019-12-05

Family

ID=62812478

Family Applications (1)

Application Number Title Priority Date Filing Date
CA3101074A Pending CA3101074A1 (en) 2018-05-30 2019-05-24 Electrosurgical instrument

Country Status (13)

Country Link
US (1) US12082866B2 (de)
EP (1) EP3801325B1 (de)
JP (1) JP7406811B2 (de)
KR (1) KR20210018237A (de)
CN (1) CN112203607B (de)
AU (1) AU2019278517A1 (de)
BR (1) BR112020024229A2 (de)
CA (1) CA3101074A1 (de)
ES (1) ES2955098T3 (de)
GB (1) GB2576481B (de)
IL (1) IL279052A (de)
SG (1) SG11202011831VA (de)
WO (1) WO2019228927A1 (de)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2575484A (en) * 2018-07-12 2020-01-15 Creo Medical Ltd Electrosurgical instrument
GB2601789A (en) * 2020-12-10 2022-06-15 Creo Medical Ltd Raman spectroscopy probe, Raman spectroscopy apparatus including the Raman spectroscopy probe and elongate assembly
EP4023180A1 (de) * 2020-12-29 2022-07-06 GEM S.r.l. Mehrquellengewebeablationssystem zur inneren behandlung von parenchymalen organen, hohlen anatomischen leitungen oder blutgefässen
CN112932650A (zh) * 2021-01-28 2021-06-11 云南科威液态金属谷研发有限公司 微波射频复合式肿瘤消融设备及肿瘤消融方法
WO2022248957A1 (en) * 2021-05-22 2022-12-01 Snipe Medical Ltd Tumor ablation tools and techniques
US20230380890A1 (en) * 2022-05-26 2023-11-30 Biosense Webster (Israel) Ltd. Transseptal tissue puncture apparatuses, systems, and methods
CN115778526B (zh) * 2022-07-11 2023-08-29 南京康友医疗科技有限公司 一种微波、射频和测温一体式消融针
GB202410988D0 (en) * 2024-07-26 2024-09-11 Creo Medical Ltd Electrosurgical instrument and system

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US5904709A (en) * 1996-04-17 1999-05-18 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Microwave treatment for cardiac arrhythmias
GB2403148C2 (en) * 2003-06-23 2013-02-13 Microsulis Ltd Radiation applicator
GB2434314B (en) * 2006-01-03 2011-06-15 Microsulis Ltd Microwave applicator with dipole antenna
WO2007135431A2 (en) * 2006-05-24 2007-11-29 Emcision Limited Vessel sealing device and methods
US20090082762A1 (en) * 2007-09-20 2009-03-26 Ormsby Theodore C Radio frequency energy transmission device for the ablation of biological tissues
EP2813192A3 (de) * 2008-10-21 2015-04-15 Microcube, LLC Verfahren und Vorrichtungen zum Anlegen von Energie auf Körpergewebe
JP6083928B2 (ja) * 2008-10-21 2017-02-22 マイクロキューブ, エルエルシー 身体組織にエネルギーに印加する方法および装置
US8777939B2 (en) * 2010-02-26 2014-07-15 Covidien Lp Self-tuning microwave ablation probe
US9561076B2 (en) 2010-05-11 2017-02-07 Covidien Lp Electrosurgical devices with balun structure for air exposure of antenna radiating section and method of directing energy to tissue using same
GB201021032D0 (en) * 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
GB2487199A (en) * 2011-01-11 2012-07-18 Creo Medical Ltd Electrosurgical device with fluid conduit
US8974450B2 (en) * 2011-02-03 2015-03-10 Covidien Lp System and method for ablation procedure monitoring using electrodes
EP3003461B1 (de) * 2013-06-04 2019-05-01 Fractyl Laboratories, Inc. Systeme und vorrichtungen zur reduzierung des lumenoberflächenbereichs des gastrointestinaltrakts
US20150196350A1 (en) * 2014-01-14 2015-07-16 Electromedical Associates Llc Electrosurgical devices having enhanced effectiveness and methods of making and using same
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KR20170107428A (ko) 2014-11-19 2017-09-25 어드밴스드 카디악 테라퓨틱스, 인크. 고분해능 전극 어셈블리를 이용한 절제 장치, 시스템 및 방법
WO2017008020A1 (en) * 2015-07-08 2017-01-12 The Johns Hopkins University Tissue ablation and assessment system and method of use thereof
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GB2543509B (en) 2015-10-19 2020-10-14 Creo Medical Ltd Electrosurgical instrument
GB2552921A (en) 2016-04-04 2018-02-21 Creo Medical Ltd Electrosurgical probe for delivering RF and microwave energy
GB2550414A (en) * 2016-05-20 2017-11-22 Creo Medical Ltd Antenna structure
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Also Published As

Publication number Publication date
WO2019228927A1 (en) 2019-12-05
IL279052A (en) 2021-01-31
JP2021526051A (ja) 2021-09-30
ES2955098T3 (es) 2023-11-28
KR20210018237A (ko) 2021-02-17
BR112020024229A2 (pt) 2021-02-17
CN112203607B (zh) 2024-12-03
GB201808810D0 (en) 2018-07-11
SG11202011831VA (en) 2020-12-30
EP3801325C0 (de) 2023-06-21
EP3801325B1 (de) 2023-06-21
JP7406811B2 (ja) 2023-12-28
US20210196376A1 (en) 2021-07-01
GB2576481A (en) 2020-02-26
EP3801325A1 (de) 2021-04-14
US12082866B2 (en) 2024-09-10
CN112203607A (zh) 2021-01-08
GB2576481B (en) 2022-07-20
AU2019278517A1 (en) 2020-12-24

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